Provider Demographics
NPI:1497176762
Name:OPULENT SPRINGS INC
Entity Type:Organization
Organization Name:OPULENT SPRINGS INC
Other - Org Name:SENIOR TAXI DEPOT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP-DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:BERNETTA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-432-9096
Mailing Address - Street 1:17301 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-5338
Mailing Address - Country:US
Mailing Address - Phone:804-432-9096
Mailing Address - Fax:804-275-5412
Practice Address - Street 1:17301 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5338
Practice Address - Country:US
Practice Address - Phone:804-432-9096
Practice Address - Fax:804-275-5412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty